Case 43502

Abstract

Presentation of CaseA thirteen-year-old girl was admitted to the hospital because of rectal bleeding.About six months previously there was an episode of tarry stools associated with pain in the right side of the epigastrium. Ten days before entry the pain recurred and was accompanied by vomiting of food eaten eight hours previously. Subsequently, the patient was well until two days before admission, when she felt nauseated, passed dark-red blood clots by rectum and then fainted. During the two days before entry there was diarrhea, with passage of dark-red clots and repeated episodes of fainting. Palpitation, pounding in the . . .